Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.83 / $7,074.00 / $20,400.00	Facility		$1,268.83	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $829.72 / $1,666.66	Professional		$546.57	$829.72	$1,666.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.57 / $1,231.13 / $1,892.09	Professional		$758.57	$1,231.13	$1,892.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.15 / $1,409.28 / $1,690.74	Professional		$1,203.15	$1,409.28	$1,690.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $847.27 / $1,168.70 / $1,553.80	Facility		$847.27	$1,168.70	$1,553.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $965.43 / $1,136.80 / $1,711.77	Professional		$965.43	$1,136.80	$1,711.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $885.18 / $1,215.38 / $1,299.80	Facility		$885.18	$1,215.38	$1,299.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.27 / $1,271.19 / $5,217.00	Facility		$847.27	$1,271.19	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,102.20 / $1,292.48 / $1,774.08	Professional		$1,102.20	$1,292.48	$1,774.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,180.85 / $1,514.17 / $2,035.06	Professional		$1,180.85	$1,514.17	$2,035.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.14 / $1,247.79 / $1,989.11	Professional		$899.14	$1,247.79	$1,989.11